HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITr
r3�
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, icensed as a( )Contractor /Engineer/Architect
c (Please print name & cle license type *FS468 Building Inspector
5CANNED
91V
s� Luchcounty
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
I
On or about b'( �r— 19 , 1 did personally inspect the roof deck nailing
(Date)
work at: 7 S?DZ A&j;—::- t: Z ec-47z. 6
(Job site address)
Based upon th xamination I have determined the installation was done according to the current
edition th Flor' Existi g Building Code Section 708 or the product approval submitted (whichever
is most in en .
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF
Sworn and subs ibed before me this � day of 20��
by ho is persona no n to a or who has produced
i as identification.
v
Notary Public, State of Florid
Signature of Notary: ' .
Commission Number: (Seal)
En
iA'0`pie AUDREY 0. HUMPHREY
;.:A.#
+- MY COMMISSION Y FF 174772
BandedThni Notary public Undenxriters